NPIMap

Organization Active NPI

Channel Islands Rehab, LLC

  • Adult Mental Health Clinic/Center
  • Ventura, CA
National Provider Identifier
1912653155
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHANNEL ISLANDS REHAB, LLC
Practice address
4474 Market St Ste 505
Ventura, CA 93003-5812
Phone
(805) 218-0079
Fax
(805) 834-0288
NPI assigned
Feb 25, 2022
Organization subpart
Yes
Parent organization
CHANNEL ISLANDS REHAB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Allison Hopkins, PH.D.
Title
Ceo
Phone
(214) 934-8999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4474 Market St Ste 505
Ventura, CA 93003-5812

Mailing address

4744 Telephone Rd Ste 3-248
Ventura, CA 93003-5244
Phone (214) 934-8999

Other names 1

  • Channel Islands Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Channel Islands Rehab3 organizations share this tax ID, including this one
Part of
Channel Islands Rehab

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4474 Market St
Ste 505
Ventura, CA 93003
Phone (805) 218-0079

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1912653155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 TELEPHONE RD STE 3-248",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035244",
            "telephone_number": "214-934-8999",
            "fax_number": "805-834-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 MARKET ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035812",
            "telephone_number": "805-218-0079",
            "fax_number": "805-834-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNEL ISLANDS REHAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANNEL ISLANDS REHAB, LLC",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-934-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channel Islands Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.